340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09163
291 N MCDOWELL BLVD
PETALUMA, CA 94954

Pharmacy Comments

Approval Date

1/25/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Patti Pilgrim, Regional CFO
(707) 525-5323

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/25/2021